HomeMy WebLinkAbout44918-Z . s�Efoa�r TOWN OF SOUTHOLD
BUILDING DEPARTMENT
CO- TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 44918 Date: 6/25/2020
Permission is hereby granted to:
Miarahi, Matthew
1 Main St Apt 11E
Brooklyn, NY 11201
To: install a deer fence as applied for.
At premises located at:
530 Hobart Rd., Southold
SCTM #473889
Sec/Block/Lot# 64.-1-32
Pursuant to application dated 6/16/2020 and approved by the Building Inspector.
To expire on 6/25/2021.
Fees:
DEER FENCE $75.00
Total: $75.00
Building Inspecto
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applymg7
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX:(631)765-9502Survey
Southoldtownny.gov PERMIT NOk—t Check
Septic Form
NYSDEC
Trustees
C O Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20 Mail to
Disapproved a/c
Phone
ZBuildin
Expiration. 20 Uii
JUN 1 6 2020 APPLICATION FOR BUILDING PERMIT
. Date �� �� ,20�
INSTRUCTIONS
a This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate plot plan to scale Fee according to schedule
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways
c.The work covered by this application may not be commenced before issuance of Building Permit
d Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit
shall be kept on the premises available for inspection throughout the work
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months Thereafter,a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or
Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described The
applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and re ulatio dmit
authorized inspectors on premises and in building for necessary inspections
i e of applicant or corp ration)
_V- ( or � �, Vt, l(958
(Mailinj address of apphcan
State whether applicant is owner,lessee, gent,architect,engineer,general contractor,electrician,plumber or builder
v Ih� I✓ tF ti d'D p1 Z
Name of owner of premises '
(As on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which roposed work w' I be done:
13'� 4c)tL-O C -
House Number Street Hamlet
County Tax Map No. 1000 Section 6y Block Lot ��
Subdivision Filed Map No. Lot
2. State existing use and occupancy of pre ses and intended use and occupancy of proposed construction:
a. Existing use and occupancy '
b. Intended use and occupancy A46 11 6101kSCC-l
3. Nature of work(check which applicable):New Building Addition Al eration
Repair Removal Demolition Other Work $ f t/1C`t�J i n gi��p v\ yad
(Description) &"" lz-
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures,if any:Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions- Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front Rear Depth
10.Date of Purchase Name of Former(Owner
11.Zone or use district in which premises are situated 1 L40 /
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO v
13.Will lot be re-graded?YES_NO \/Will excess fill be removed from premises?YES NO
14.Names of Owner of premises ,aylt-W o Address,-') (40641M Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NOV
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES / NO
* IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18.Are there any covenants and restrictions with respect to this property?*YES NO v
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS
COUNTY OF `` )
X 0—VI,G L� being duly sworn,deposes anbNftb88ftpppl,cant
(Name of individual signmg contract)above named, Notary Public,State of New York
(S)He is the No.01 BU6185050
(Contractor Agen, rporate Officer,etc) Qualified in Suffolk County
Commission Expires April 14,20a Ul
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be
performed in the manner set forth in the application filed therewith
�'Sw_or1n�t_o before me this
Ll--1 day of 20 Q.0
Notary Public Signature o ant
Buildine bepartment Application
A,UTHORIZATI4h
(where the Applicanfis not the Diener)
I. 1"1 ,��'�p"i0rs _
(Print property ownresiding ater's name} (Mailing Address)
�� 6J Y J P -7-fdo hereby authorize
Creative Environmental Design (Agent)
-- PO Bo 160 to apply onmy,beltalfto the
PConic,N'11958
Southold'Building Department
P '7-0
(Owner's Signature) (bate)
(Print Owner's Name)
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�xROIJ SURVEY' OF PROPERTY
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yI Y.S. SITUATED AT
SOUTHOLD
'OWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
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MARCH 15. 2-000
JULY 23, 2001 REVISED PROPOSED HOUSE
AUGUST 10, 2001 U P DATE. SURVEY
SEP'TEVBER 13r 2001 REVISED PROPOSED HOUSE
OCTOBER 24, 2001 F"OUN ATIOP LO 0"4
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COVE-RACE DATA -R
DIY y�1 DESUIPTION AREA 9, LW COVERAGE ��,
TIVE ENAROMMMAL PE9GN .
HOUSE 21l sq, f 1. 5.5 . K Sb��c.No. 6. 4
PORCH 223 isq. ft. 0.5x
FECON!C NY 11958
044"MRTM17M A.LTM.ATON *q Ill. ON Ali- A_
nc
RRI RAISED TERRACE 530 sq, ft. ro3l734
E1 ,rA. 41�.�'I�t w--
"5*13 .;
7923 T Ttii� Nathan
SECTION 720+ OF 'I N� YORK Stil
` i.ti SHED 102 sq. ft. 0,2X E Relllemcm tAw
Oft In
COPIES CF TTM S�� WAP W.TT EFAARN
PAVU GICHANO\AACZ
SWR Ct�UXCTOR 289 eq. ,ft. THY. LOIN S�t C`rr ' P �_ OR Lcxn%,A cDurv(4,;0; y 1
M-Croje-LD SIAL PSHIlee!E. NOT VE M0V--;EIS
PROPOSED OUTDOOR 39' sq. ft. 0.1 ., TO r-- A VAUD IMM C-O;rr.
S Sure mr Tia! Stonl J. lsnkter� Jr. '�
KITCHEN �F��T�rr Ir�vY.�� HF�f� ..K�.i, �.�a Y
ClNLY TO THE PER", 4 FOR WKW THr SUR•oL'r'' JpT-r. ,A. Irgrgm L.'S.
TOTAL IS PREPAP0, OND ON HIS 00OLf TO TIC
3470 sq. ft. Tl',, r:COPAl 001".E:SVEN IAL .0MC Y AND F�Or_ SIrrl�r�..1 � ,�t►fi.;!ali'�i��;; S 1Ir Plans — cr IrirmU.", tayar f
LEMa IM, INSTMMON USTED, FEFECI, Pflb
TIS THE ASSr.LRI OAF THE LEMEM, IMAM-- IONONE (631)727-2090 rcy,
1
TUfl.nk CFFTF1.^_AT� n_ � lI•.X;T 'TRANVYWI. —1
THT' r5a."AMC1, Or RIGHT or WAYS MS LOCAUD At �,{•'�J'L�i�l.�r Vii" 5
ANDION CASCWtM Or MORD, 4F 1586 kI acad P.o. eox Ri 6
ANY, NOT SHOWN ARE NOT G1JL1 FE `EED' James1Dort, II °Y06. 1 *47 Jamesrort, Neem 1 cek 11947